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Concept healthy food and sports lifestyle. Vegetarian lunch.  He

Sports Nutrition: Elite vs. Recreational Athletes

Nancy, do you offer different nutrition recommendations for elite athletes as compared to recreational exercisers? I am highly competitive, work out intensely, and often wonder if I am eating to be the best athlete that I can be.

Answer: Sports nutrition recommendations are based on the assumption we all want to get the most benefits from our workouts so we can perform to the best of our abilities. Because each elite athlete and casual exerciser is unique, a one-diet-fits-all approach doesn’t work. Rather, all exercisers want to be curious and experiment with a variety of fueling practices to learn what works best for their bodies. The following compares recommendations I might make for competitive athletes vs. recreational exercisers.

Note: Sports nutrition is a new science. In the near future, with the refinement of personalized nutrition based on genetics, sport dietitians will be able to offer individualized advice. Some athletes might perform better with more fat than carbs, or more beef than beans. Until then, here are today’s science-based recommendations.

Carbohydrate requirements

In this era that pushes fat and protein, carbohydrate deficiency is common. All exercisers can improve their performance (and health) by consuming adequate “high quality” carbs (grains, fruits, veggies) to fuel muscles and prevent needless fatigue. While elite athletes might want to strategically withhold carbs before specific training sessions to trigger performance-enhancing cellular adaptations, recreational exercisers want to focus on fueling well each day in order to have enjoyable workouts. A sports dietitian can help both elite and recreational athletes reach these carbohydrate goals:

Amount of exercise/day gram carb/lb. body wt. gram carb/kg body wt.
1 hour moderate exercise 2.5 to 3 5-7
1-3 h endurance exercise 2.5 to 4.5 6-10
>4-5 h extreme exercise 3.5 to 5.5 8-12

Example: For a 140-lb fitness exerciser who trains moderately hard for an hour a day, carb goals are 350 g (1,400 calories) For the competitive athlete who trains harder and longer, a good goal is 630 g carb (2,500 calories) a day. Divide that into 3 meals (400 to 700 calories from carb per meal) and 2 snacks (100 to 300 calories from carbs per snack). Start reading food labels to see how well you do. You’ll discover a spinach-cheese omelet doesn’t hit the goal.

Protein requirements

A well-fueled competitive athlete with trained muscles requires a little less protein than a novice exerciser who is building new muscle. The range of protein needs (0.6 to 1.0 g protein per pound body weight; 1.2 to 2.0 g/kg) tends to be moot, given most hungry exercisers and athletes consume plenty of protein.

Most competitive athletes can easily meet their protein needs by targeting about 20 to 30 grams protein per meal (a can of tuna) and 10 to 20 g protein per snack (a Greek yogurt). The protein in natural foods is preferable to protein supplements. Natural foods offer a complex matrix of nutrients that interact with a synergistic effect. Plus, they are unlikely to be spiked with illegal drugs and compounds that can lead to a failed drug test.

Fluids

Competitive athletes lose lots of sweat when exercising for hours on end. But so can recreational exercisers who are out of shape and working hard. That’s why everyone who sweats heavily wants to learn his or her sweat rate. You can learn this by weighing yourself (without clothing) before and after an hour of exercise without drinking anything at X pace and in X degrees of heat or cold. For each pound lost, you are in deficit of 16-ounces of fluid. Drink enough during exercise to minimize this deficit. Throughout the day, drink enough to urinate every 2 to 4 hours. (Peeing every half-hour is excessive; no need to over-hydrate!)

Fueling during exercise

For competitive athletes, a sport drink or gel is a convenient and precise way to boost energy during extended exercise over 90 minutes. With a target intake of 60 to 90 g carb per hour of extended exercise, an elite athlete generally prefers drinking a beverage than eating solid food. A casual exerciser might want some tastier orange slices or a granola bar.

Electrolytes

Electrolytes (potassium, sodium, magnesium, and calcium) are readily available in standard pre- and post-exercise foods. Most recreational exercisers don’t sweat enough to lose a significant amount of electrolytesHighly competitive athletes, however, train and sweat for 2 to 3 or more hours in the heat. They should add extra salt to their pre-exercise food (helps retain water and delays dehydration) and consume sodium-containing foods and fluids during extended exercise (endurance sport drinks). Afterward, chocolate milk beats Gatorade for an electrolyte-filled recovery drink. Most sweaty athletes intuitively seek salty chips, soup, or salted foods in for their recovery meal. If you are craving salt, consume salt!

Recovery

Recreational exercisers who train 2 to 3 times a week can easily recover by backing their workout into a balanced meal that contains carbs (to refuel) and protein (to build and repair) muscles, such as oatmeal + eggs; yogurt + granola; sandwich + milk; chicken + rice. Competitive athletes who train twice a day should more rapidly refuel by eating soon after working out. The key is to plan ahead to have the right recovery foods and fluids ready and waiting. While a commercial recovery drink can be handy, a fruit smoothie (made with Greek yogurt) or some chocolate milk does an excellent job. Real foods work well for everyone.

After lifting weights, no need for anyone to immediately slam down a protein shake. Muscles stay in building mode for the next 24 to 48 hours. Regular meals, with protein evenly spaced throughout the day, do the job.

The bottom line

Every exerciser and athlete can win with good nutrition. The key is to be responsible, and plan ahead to have the best foods and fluids available at the right times. Here’s to satisfying results from your hard work!


Nancy Clark, MS, RD counsels both casual and competitive athletes at her office in Newton, MA (617-795-1875). Her best selling Sports Nutrition Guidebook and good guide for soccer, marathoners and cyclists offer additional information. Visit NancyClarkRD.com. For her popular online workshop, see NutritionSportsExerciseCEUs.com.

assorted beans

The Naturopathic Chef: Black Bean Hummus

Cannelini beans are an overlooked nutritional goldmine. They are a versatile and mild bean, with a very creamy texture. They thicken soups and sauces. Make a velvety dip base and accept flavor profiles from every culture. This twist on an international favorite can be used to stuff enchiladas and tacos, too.

Ingredients

  • 1 small can organic cannellini beans, drained, and ice bathed*
  • 1 small can organic black beans, drained, and ice bathed*
  • 2-3 Tbls olive oil
  • 1 1/4 tsps ground cumin
  • 1/2 tsp cayenne
  • 2 tsps chili powder blend, mild
  • 1/4 tsp ground coriander
  • 1/2 tsp lime zest
  • 2 tsps lime juice
  • 1/2 tsp lemon zest
  • 2 tsps lemon juice
  • Salt to taste
  • 1/4 cup tahini

Tina’s black bean hummus tostada. Includes her black beans hummus with kale and orange salad on a coconut oil fried tortilla

Directions

  • Toss all ingredients together in a large bowl.
  • Place 1/2 of the ingredients to a food processor, blend until smooth
  • Transfer to a serving bowl, repeat process.
  • Chill and serve with your favorite gluten-free chip or cracker.

About Wheat

Wheat is a phytoestrogen. This is generally a good thing, unless the wheat has been genetically modified. We’re hard pressed to find wheat that is non-GMO. Wheat in it’s natual state is inflammatory. We definitely don’t want that, with regard to preventing disease. So we can see that there is good and not-so-good characteristics in all foods. For many reasons, it does us good to take a break from wheat, and wheat products, whether we’re practicing a gluten-free nutrition plan or not.

*About BPA in canned goods

When in treatment for a hormone based cancer like breast cancer, it is imperative that you buy BPA free cans. It will indicate this on the lable. BPA is a chemical that creates confusing, and incorrect messages in the endocrine system. It is thought that BPA is one of the main contributors to the rise in infertility. It’s really best to cook dried beans from scratch whenever possible.

Phyto facts

Beans are a great source of omega 3 fatty acid, the most talked about of all essential fatty acids. What we don’t speak of enough, is the ratio of Omega-3 to Omega-6. We are exposed to processed oils more than we might think, in our everyday foods. These oils are almost always out of balance. Even foods in their natural state can be too far out of balance with their ratio. Too much Omega-6 can actually cause tumors to grow. All beans are great! I don’t want to discourage any bean eating! My only message, as always, is variety. Traditional Hummus is a huge staple in our culture now, but garbonzo beans have a very bad Omega 3 to Omega 6 Garbonzos are full of Delicious Medicine, just don’t eat them everyday. Black beans have a very good ratio, and they’re really purple when you look closely. Kidney beans come in white, as we’re using here, and red. Each color offers a different profile of phytonutrients.

Fiber is the real healer here, though. Beans contain both soluble and insoluble fiber. Fiber collects circulating estrogen like a sponge in the bloodstream. We all think of one thing when we think of fiber: Yep! I’m going to say it, POOP! The estrogen is eliminated, ahh, much nicer word, through our bowel movements. If estrogen doesn’t hang around, it can’t become malignant. This provides great protection against breast cancer, generally speaking. Here’s the kicker, if you don’t clear your bowels at least once per day, the estrogen is reabsorbed into the body. Please be sure to drink enough water always, but especially when eating a high fiber meal.

Sesame seeds, like Flax, have shown tremendous results with regard to the prevention, and treatment of breast cancer. High Lignan content is the primary healer here. Lignans not only balance hormones, but they also protect receptors from damage. This is crucial in preventing tumors from forming. Nature provides clues as to what the food is good for.

Citrus is the shape of mammaries, and bioflavonoids keep the breast tissue youthful in appearance, and hormone health. Hello men, this isn’t just about “The Girls,” or weird hippies living on veggies, we care about your hormones, too. A long and healthy life means more great sex!


Affectionately referred to as The Walking Encyclopedia of Human Wellness, Fitness Coach, Strength Competitor and Powerlifting pioneer, Tina “The Medicine Chef” Martini is an internationally recognized Naturopathic Chef and star of the cooking show, Tina’s Ageless Kitchen. Tina’s cooking and lifestyle show has reached millions of food and fitness lovers all over the globe. Over the last 30 years, Tina has assisted celebrities, gold-medal athletes and over-scheduled executives naturally achieve radiant health using The Pyramid of Power: balancing Healthy Nutrition and the healing power of food, with Active Fitness and Body Alignment techniques. Working with those who have late-stage cancer, advanced diabetes, cardiovascular and other illnesses, Tina’s clients are astounded at the ease and speed with which they are able to restore their radiant health. Tina believes that maintaining balance in our diet, physical activity, and in our work and spiritual life is the key to our good health, happiness and overall well being. Visit her website, themedicinechef.com

oatmeal

Fueling Tips for Early Morning Exercisers

Many athletes train in the early morning. Rowers commonly meet at 5:30 a.m. Hockey players might get rink-time at 5:00 a.m.. Athletes who need to be at work at 7:00 often train at 4:30 a.m. Many of these athletes report eating nothing before their training session. My stomach isn’t awake. … It’s too early to even think about food. … I get reflux if I eat. Others report they have better workouts when they eat something simple. The question arises: What’s the best way to fuel for early morning workouts?

Before answering that question, let’s first address the physiological goals for fueling before morning workouts.

1) To change the stress-hormone profile. Cortisol (a stress hormone) is high in the early morning. This puts your body in muscle-breakdown mode. Eating carbs + protein can switch to muscle-building mode.

2) To provide energy and prevent low blood glucose with the consequences of feeling light-headed, dizzy, and needlessly fatigued.

3) To be adequately hydrated. Dehydration slows you down.

If you are making the effort to get up early to train, you might as well get the most out of your workout! In a fueling study, athletes had dinner the night before and then a 60-minute exercise test the next morning. They performed 6% better in the 10-minute sprint to the finish when they had some fuel (carb) compared to having had nothing;  6% better when they had adequate water (compared to minimal water), and 12% better when they had both fuel + water (a sport drink). (1) Twelve percent better means running an 8-minute mile in about 7 minutes. Powerful, eh?

Your body can digest pre-exercise food and use it to energize your exercise as long as you are exercising at a pace that you can maintain for more than 30 minutes. (If you do stop-and-start exercise, you can still digest the food, but at a slower rate.) In another fueling study, athletes ate dinner and than nothing for the next 12 hours. Those who ate 180 calories (sugar) just five minutes before an hour-long exercise test performed 10% better in the last 15 minute sprint compared to when they ate nothing (2). Grab that granola bar or swig of juice!

If you are tempted to skip pre-exercise food so you can lose weight by burning more fat, think again. Yes, pre-exercise food will contribute to burning less fat at the moment, but that is irrelevant. The issue is not whether you have burned fat during exercise but if you have created a calorie deficit by the end of the day. Eating excess calories after a fat-burning workout gets you nowhere.

All of this means consuming some food and fluid on your way to the gym, spin class, or boot camp will enhance your workout—assuming you have trained your gut to tolerate the food and fluids. If you are worried about intestinal distress, start small (a few crackers) and work up to a handful of crackers, and then add, let’s say, a latte. For workouts longer than 60 minutes, the recommended intake is about 200 to 400 calories within the hour before you train. That recommendation obviously varies according to body size, exercise intensity and duration, and personal tolerance to food.

If you have been exercising on empty, you will likely discover you can exercise harder, feel better, and get more enjoyment from your workouts. Research subjects who ate 400 pre-exercise calories were able to exercise for 136 minutes until they were exhausted, as compared to only 109 minutes with no breakfast (3). Big difference! After learning this, one of my clients reported he was done with skipping pre-exercise fuel in the name of intermittent fasting. “Not eating is slowing me down and taking the fun out of my workout.”

Early morning options

Here are some options for fueling your early morning workouts so you are adequately hydrated and fueled.

Eat a quick and easy snack with about 200 to 400 calories (depending on your body size and workout intensity). Some popular options include: English muffin, toast, bagel or banana (with peanut butter); oatmeal, a smoothie, Fig Newtons, or granola bar. Coffee is OK; it’s a functional fluid that boosts performance and yes, helps with hydration.

Wake up 4 hours before important training sessions/events, eat a simple breakfast (bread + peanut butter), then go back to bed. This is a common practice among elite athletes. As one marathoner explained, “I don’t want to have food in my stomach when I’m racing. If a race starts at 8:00 a.m., I’ll get up at 4:00, eat a bagel with peanut butter and a banana, and then go back to bed. At 6:00, I’ll get up, have some coffee (to help me take a dump and wake me up), and then get to the race start. Because I never really sleep well the night before an event, getting up at 4:00 isn’t terribly disruptive.” In comparison, a rower reported she used to wake up two hours before practice to eat. She became too sleep-deprived and decided she needed sleep more than food. She started eating a bigger bedtime snack.

Eat your breakfast the night before via a bedtime snack, such as a bowl of cereal, or yogurt with granola. If you have dinner at 6:00, you’ll be ready for a bedtime snack by 9:00. Choose quality calories; this is your breakfast that you are eating the night before. Limit the cookies and ice cream!

Fuel during your workout.If your stomach isn’t awake when you first get up, it may be receptive to fuel when you are 30 minutes into your bike ride, run, or row. Be sure you have some fuel with you: sport drink, dried pineapple, gels, chomps, gummy bears—whatever is easy to carry and simple to digest. You want to target about 30 to 60 grams carb (120 to 240 calories) if the workout lasts 1 to 2.5 hours, and 60 to 90 g carb (240 to 360 cal) if the workout is longer than that..

What about “training low”?

If you are highly competitive and has mastered the sports nutrition basics (eat a diet with 90% quality foods; fuel evenly during the day; have no disordered eating behaviors), you might try training low (with depleted muscle glycogen and/or low blood glucose) once a week or so. To do this, eat primarily protein for dinner after a late-afternoon workout. The next morning, train without having eaten carbs. Exercising depleted like this is not fun, but it stimulates cellular changes that can be performance enhancing if you need to get to the next level (4). Novice and recreational athletes, however, first need to work on the basic ways to improve performance—by surrounding their workouts with food, and fueling wisely the rest of the day.


Nancy Clark, MS, RD counsels both casual and competitive athletes at her office in Newton, MA (617-795-1875). Her best selling Sports Nutrition Guidebook and food guides for marathoners, cyclists and soccer players offer additional inform-ation. They are available at NancyClarkRD.com. For her online workshop, visit NutritionSportsExerciseCEUs.com.

References

  1. Below, P. et al. Fluid and carbohydrate ingestion independently improve performance during 1 hour of intense exercise.Med Sci Sports Exerc27:200-210, 1995.
  2. Neufer P. et al. Improvements in exercise performance: effects of carbohydrate feedings and diet. J Appl Physiol62(3):983, 1987
  3. Schabort, E. et al. The effect of a preexercise meal on time to fatigue during prolonged cycling exercise.Med Sci Sports Exerc31(3):464-471, 1999.
  4. Hawley J and Burke L. Carbohydrate availability and training adaptation: effects on cell metabolism. Exerc Sport Sci Rev. 38(4):152-60, 2010.
couple coastline

Healthy Aging: Establishing a Vision for Your Future and Planning for Success

I have never stopped believing in the power of a vision that captures one’s imagination and fuels a deep seated passion to make a difference in life and leave legacy of contributions that is remembered long after we are gone. The idea of creating a vision that fuels my desire to live life fully forms the foundation for a life that is built on purpose and serves to open doors of opportunity for others as well.

In the context of aging healthfully we can draw from the idea that “pulling us forward’ is an inner desire to NOT live life on the “edges” but become completely engaged and energized by what it is that we do on both the professional and personal levels. I believe in the power of a vision that yields purpose and also creates a deep sense of responsibility and accountability to one’s goals. This idea of creating a vision is at the heart of how I view my life now. I have spent a lifetime making decisions about both personal and professional matters that were limiting and not empowering. When I finally created my vision I learned I had become committed to my purpose and felt free to live my dream without fear –or reservation.

Here is my vision as it is currently written: “Healthy aging is a consciousness issue. It is not merely the death of our cells but is a complex and dynamic process that is grounded in change as life unfolds for each of us. The challenge as I see it is discovering the potential that lies within each of us to become all that we were meant to be mentally, physically and spiritually. This potential can carry us to living lives of fulfillment, peace, and prosperity if we remain present during each moment of our lives – living consciously. Learning about who we are from the ‘inside –out’ while acting upon our choices in the present moment, enables and empowers us to live a life of great accomplishment. This is my vision of a world that is possible.” Implied in this statement of purpose is the idea that my health and my evolving needs as I grow in time are dependent on the present circumstances as I understand them.

Supporting this vision is what I call my ‘core beliefs’ that define WHO I am as a human being – and as a professional. Some of these beliefs are:

  • Everything that we desire in life comes through relationships.
  • The mind of man is unlimited in its potential and responds to specific demands made upon it.
  • The “Triple Win” (created by me in the 80’s); “As I help you win, we win; as we win those we touch win.”
  • The purpose of life is to discover, develop and share our natural gifts.
  • What we put out in terms of energy and actions comes back to us multiplied. (Karma)
  • The rewards in life are directly proportional to your service to others.

My values are clear. Without my health I can accomplish nothing in my life. This notion fuels my desire to train mentally, physically and spiritually each and every day in order to expand the borders of my consciousness and be of service in ever expanding ways.

I have lived in my “shell” a long time and now I feel the presence of growth in all areas of my life. These articles are helping me to clarify my message and become more than I ever dreamed possible. It is about time after all I have lived 66 years, right? The programs I develop around these ideas will form the nucleus of what it is I am here to do (including publishing my book – no excuses!). I am also going to be “pushing back” a bit against the increasing influence of technology in our lives because every moment we spend tweeting, texting, checking our iPhones and communicating constantly online pulls us away from the ‘moment’ – the present – and this is only point of power through which we can change our lives for the better.

The world is “attached” to technology now and we no longer acknowledge each other – we are just too busy!  Make the time to meditate, imagine, feel, think and enjoy your life. If prayer works – pray by all means. Making time to take the “inner journey” everyday will make a world of difference in how you view and live your life – now and in the future. This work has paid off in spades for me. I am running faster and getting stronger everyday because I have taken the time to be with “me”. I have begun to prioritize my needs as they become apparent to me so that my life continues to move forward with meaning and purpose enabling me to be able to maximize the time I have left – whatever that turns out to be. (Remember the 6 minute mile on my 80th birthday?) Be strong and know that you have something unique in you that only you can give the world. Let your light shine and see what happens!

Article reprinted with permission from Nicholas Prukop. 


Nicholas Prukop is an ACE Certified Personal Trainer & a Health Coach, a fitness professional with over 25 years of experience whose passion for health and fitness comes from his boyhood in Hawaii where he grew up a swimmer on Maui. He found his calling in writing his first book “Healthy Aging & You: Your Journey to Becoming Happy, Healthy & Fit” and since then he has dedicated himself to empowering, inspiring and enabling people of all ages to reach for the best that is within them and become who they are meant to be – happy, healthy and fit – and be a part of a world where each person can contribute their own unique gifts to life.

healthy diet Depositphotos_6270042_xs

Trainers and Nutrition

It was 1995.  I sat on a panel at the Club Industry conference in Chicago and made a fully convicted argument that “personal trainers MUST talk about nutrition.” I had been told by assorted experts, club owners, and educators that ‘it’s illegal for trainers to talk about nutrition.’ Absurd.

In referencing that event from 20 years ago, I’m realizing how far we’ve come in the field of personal training. I’m also reminded of the Diet Ginger Ale Lady.

I was in the checkout line in Publix supermarket and the woman in front of me had only 3 items. She had 3 cases of diet ginger ale. Period. The cashier eyeballed her purchase and quipped, “you must like diet ginger ale.” The response was surprising.

“No, I don’t like it at all, but it’s a great diet!”

Now the visibly overweight cashier’s ears perked up, “Diet? How does it work?”

“Well, the ginger gives you all the nutrients you need and the carbonation makes you feel full, so for two days you only have diet ginger ale. On the third day you have all the soup and salad you want. You repeat the 2-day 3-day regimen until you’ve lost the weight.”

I was sure somebody was going to show up. Maybe the FBI. At the very least, the local police. After all, if it’s “illegal” for personal trainers to talk about nutrition, this woman had to be committing extreme violation!

No cops came. No SWAT Team or sting operation. The diet ginger ale lady left with her purchase and went on her way.

I share this to make a point. The advice people are receiving related to nutrition runs from relatively sane to outwardly dangerous. If we are going to guide our clients toward health, we have an obligation to help them make better choices.

I understand why some opted to believe that nutritional advice from trainers violated the law. Personal trainers without nutritional credential should NOT be prescribing diets, nor should they be recommending supplements. There are far too many risks, and in that, there have been lawsuits and judgments.

Let’s not, however, go to a full pendulum swing and prevent trainers from speaking truth.

I said earlier we’ve come a long way, and we have, and many trainers have become educated in nutritional practices, have aligned with software programs or continuing education courses, and the stigma is lessened significantly.

That doesn’t mean I believe the entire field of personal trainers should be spewing the nutritional beliefs they most attach to.

While many trainers have become responsibly educated, others haven’t and that presents a challenge.

My anecdotal experience has shown me that many personal trainers with limited education in clinical nutrition, marry themselves to one of two approaches and those approaches become a blanket touching each and every client.

  1. They adhere to the old school teachings of “calories in vs. calories out” and reference mathematical formulas to estimate “ideal” caloric intake.
  2. They profess that a bodybuilding type plan, generous in protein, and ample in both meals and energy substrates, is the way to go, failing to recognize the uniqueness of each client.

Many today scream Paleo, others yell Keto, and there’s very little unity.

Here’s my suggestion. While science will reveal new subtleties in food intake for specific groups, demographics, and performances, and food will continue to change as genetic modification, commercial livestock rearing, and food preservation techniques will challenge nature, the basics of “The Macro” won’t change.

  • Amino acids are the building blocks of tissue and we obtain them from dietary proteins.
  • Essential fats are essential with a host of vital benefits.
  • Starvation is NOT an effective weight loss strategy.
  • Processed foods will disrupt pancreatic hormones and metabolic processes if consumed often over time as staples in a nutrition plan.
  • Sugar intake can lead to a host of chronic and debilitating conditions If it isn’t well managed and kept modest at best.
  • Natural (organic) foods, grass-fed, pasture raised, and wild caught are going to provide more of nature’s “life force” than anything removed from sunlight, anything chemically modified, or anything hybridized for resistance to pests or weeds.

The bullet points are nothing but generalities, and this doesn’t pretend to be a complete list of important points, but a trainer equipped with some consistently valuable guideposts for their clients seeking health and betterment are certainly more powerful than those who avoid nutrition altogether.

Dr. Joel Fuhrman, Physician, Nutritional Scientist New York Times, Best-Selling Author

There are a great many leaders opening new doorways in the field of nutrition. One of them is Dr. Joel Fuhrman. We’re privileged to have him sharing his powerful insights at the MedFit Tour stop in Irvine, CA on February 9. It’s only one of the many reasons you should attend.

Dr. Fuhrman will share eye-opening research about the impact of fruit, specific vegetables, fats, and common foodstuffs on human health. . . and I guarantee two things. One, you’ll be blown away as so much of his study reveals the misinformation that plagues our population. Two, you’ll be far better equipped to deliver thrilling outcomes for your clients, whether you train athletes, regular folks, or the chronically afflicted.

Dr. Fuhrman is only one of a dozen extraordinary speakers slated to share insights in the wide-open and opportune field of Medical Fitness.  It’s the future. It should be a part of yours.

P.S. Here’s a gift, see Dr. Fuhrman live on video for free. Click here to access.


Phil Kaplan has been a fitness leader and Personal Trainer for over 30 years having traveled the world sharing strategies for human betterment.  He has pioneered exercise and eating interventions documented as having consistent and massive impact in battling chronic disease.  His dual passion combines helping those who desire betterment and helping health professionals discover their potential.  Email him at phil@philkaplan.com

whole grain

Five Reasons Why You Want to Eat Carbohydrates

As the New Year starts, I hear way too many athletes vowing to “knock off carbs” for their nutrition resolution. Most intend to eat less sugar (OK). Some plan to cut out bread, pasta, potato and starchy foods (not OK), and others plan to also limit fruits and veggies (bad idea). The reality is, carbs should be the foundation of your sports diet.

Carbs 101

By carbs, I mean primarily fruits, vegetables, beans and grains. But little is wrong with a sprinkling of added sugar (less than 10% of your total daily calories) or enjoying a meal with refined white flour (as long your other meals include whole grains). To be sure we are all on the same page, let’s define this much-maligned word “carb.”

  • Carbohydrates include both sugars and starches. They are biochemically similar. For example, green peas (and other veggies) are sweet when young; their sugar converts into starch as they mature. Unripe bananas (and other fruits) are starchy when young and become sweeter as they ripen. Their starch converts into sugar.
  • Both sugars and starches are equal sources of muscle fuel. Whether you eat a starchy potato or sugary candy, the digested end-product is the same: glucose.
  • Glucose feeds your brain, gets stored as glycogen in muscles (for fuel during hard, extended exercise) and also in the liver (where it gets released, as needed, into the bloodstream to prevent your blood sugar from dropping).
  • Some carbs are more nourishing than others. Added sugars (white sugar, maple syrup, honey, agave, gels, chomps, sport drinks, etc.) lack the vitamins and minerals that invest in good health. Fruits, veggies, beans, and dairy, however, are health promoting sources of carbs. Obviously, you want to eat more of the best and less of the rest.
  • Physically fit athletes easily metabolize sugars and starches. Unfit people, however, often end up with high blood sugar and pre- or Type II diabetes.Note: Most messages to cut out carbs are targeted at unfit people, not athletes.

Reasons to keep carbs in your sports diet

Here are five reasons why you, a physically fit athlete, want to include carbohydrate in your sports diet.

  1. Carbohydrates fuel muscles. Athletes who restrict carbs pay the price: “dead legs” and inability to exercise at their best. If you routinely train hard 4 to 6 days a week, carbs should be the foundation of each meal. Here are the International Olympic Committee’s research-based carb recommendations for an optimal sports diet:
Amount of exercise/day gram carb/lb. body wt gram carb/kg body wt
1 hour moderate exercise 2.5 to 3 5-7
1-3 h endurance exercise 2.5 to 4.5 6-10
>4-5 h extreme exercise 3.5 to 5.5 8-12

For a 150-lb athlete who trains hard 1 hour a day and remains somewhat active the rest of the day, the target intake should be 375 to 450 grams carb/day. That’s at least 90 g (360 calories) carb per meal and 50 g (200 cals) carb at each of two snacks. This is more carbs than in the ever-popular (low-carb) breakfast protein shake with a few berries, a lunchtime spinach salad, and a dinner with a pile of broccoli but no rice. Here’s what 375 grams of carbohydrate looks like (without the protein and fat that balances the diet):

Breakfast: 1 cup dry oats (50g) + 1 banana (25g) + 1 T honey (15g)

Lunch: 2 slices whole wheat bread (46g) + 1 can Progresso lentil soup (60g)

Snack:  1/3 cup raisins (40g) + 1 Tbsp dark chocolate chips (10)

Dinner:  1.5 c cooked brown rice (65g) + 14-oz bag frozen broccoli (20g)

Snack: 8 ounces vanilla Greek yogurt (20) + 1 Nature Valley Granola Bar (30)

While I am sure many of you are rolling your eyes right now and thinking, “I could never eat that many carbs without getting fat,” this is an appropriate carb intake, believe it or not, and these 1,500 carb-calories can fit into your day’s 2,500+ calorie budget. I invite you to be curious and experiment. How much better can you train with an appropriate carb intake?

  1. Carbohydrates are not fattening. Despite popular belief, carbohydrates are not inherently fattening. Excess calories at the end of the day are fattening. Excess calories of carbs (bread, bagels, pasta) are actually less fattening than are excess calories of fat (butter, salad oil, cheese). That’s because converting excess calories of carbohydrate into body fat requires more energy than does converting excess calories of dietary fat into body fat.
  2. Avoiding carbs can lead to food binges. By routinely including carbs in your daily sports diet, you take the power away from them and will be less likely to binge. That is, if you “cut out carbs” but then succumb to eating the entire breadbasket and the mountain of pasta when at a restaurant, you are doing what I call last chance eating. You know, last chance to eat bread and pasta so I’d better stuff them in today because my no-carb diet restarts tomorrow. (Ugh.)
  3. Quality carbs (fruits, vegetables, grains and beans) promote a healthy microbiome, which reduces the risk of heart disease, diabetes, and cancer. Fiber-rich carbs feed the zillions of microbes that live in your gut. These microbes have an incredible influence on your mood, weight, immune system, and overall health. Every major medical association recommends we consume a strong intake of fruits, veggies and whole grains. Do athletes on a low carb diet miss out on these health benefits? TBD.
  4. Carbohydrate adds pleasure to your sports diet. Is something wrong with eating some yummy foods, like pasta and bagels? How about chocolate milk for a fun recovery food? Given that 10% of daily calories can come from refined added sugars, most athletes have about 240-300 calories (60 to 75g) of added sugar a day in their calorie budget. You can easily ingest that sugar via sport drinks, gels, and sweetened protein shakes. You can also enjoy one or two cookies or a slice of birthday cake—guilt-free.

Carb abuse is the bigger problem than carbs in moderation. The easiest way to prevent carb abuse is to eat satiating breakfasts and lunches (with carbs + protein) that fill your tummy, prevent afternoon hunger, and curb cravings for sugary sweets later in the day. Preventing hunger minimizes the cravings that give carbs a bad name in the first place. Give it a try?


Nancy Clark, MS, RD counsels both casual and competitive athletes at her office in Newton, MA (617-795-1875). Her best selling Sports Nutrition Guidebook and food guides for marathoners, cyclists and soccer players offer additional information. They are available at www.NancyClarkRD.com. For her popular online workshop, see www.NutritionSportsExerciseCEUs.com.

Health Care Collage Words Medicine Background

How Do You Define Health?

Health can be defined in a variety of ways.

  • The absence of disease.
  • The absence of symptoms of a disease.
  • The ability to achieve a specific health goal. (Weight loss or reduced medication)
  • The ability to achieve a specific life goal. (Travel or dance at your granddaughter’s wedding)

There’s no right or wrong definition of health. It’s all what’s of most importance to you. However, unless you take a moment to reflect on and define it for yourself, you may by default be guided by your physician’s goal for your health.

Their goal is well-intended and certainly well researched, however, without the understanding what’s most meaningful to you in terms of your health, you’re likely following a standard protocol. They may get you 90% of the way to your health, not realizing it’s the last 10% beyond the standard protocol that enables you to achieve what is most meaningful to you.

As we’ve entered into a New Year when health goals are more at the forefront of our minds, it can be an inspirational time to determine what health means for us.

A vision helps you determine what you’re aiming towards.

You can then communicate a clearly defined vision with your health care providers, so they can support you in achieving your goal.

So, what does this look like?

As a nutrition coach, I always take new clients through this process.

What goal comes to mind first?

Generally speaking, the most popular answer is weight loss. But nobody wants to lose weight just to have a lower number on the scale. It’s about what they can do when they’re at that lower weight. (Walk up the stairs without being winded, not need a seatbelt extender during a plane ride or feeling comfortable in a bathing suit on your anniversary vacation.)

Because I work primarily with individuals that have autoimmune disease, the motivations are much deeper. The obvious would be less pain, more energy and increased mobility. But when truly getting to understand each person, they share that they want to regain the ability to walk down the driveway to get the mail, have enough energy to do their own grocery shopping, or reduce pain so they can sleep better at night.

The latter goals have such great detail that your care team will want to get onboard in setting you up for success.

From here, you can best determine what providers and services you need most to achieve health in your terms.

This may also prompt them to offer more options for you in achieving your goal. It could be as simple as suggesting a session with a physical therapist to a mediation app that’s been helpful to other patients in managing pain.

Bottom line, you need to first define your vision for health and then clearly communicate that vision with your healthcare team – ideally starting with your primary care physician – so you can be supported with the best path to your health success.

Join Alene for her upcoming webinar with MedFit Classroom:


Alene Brennan has been featured in USA Today, Philadelphia Inquirer, Huffington Post and Mind Body Green. Alene overcame debilitating migraine headaches through diet and lifestyle and is now once again using a “Less Pharm, More Table” approach is managing her diagnosis of Multiple Sclerosis. Alene holds four certifications: Nutrition Coach, Yoga Instructor, Personal Trainer and Natural Food Chef. She also completed specialized training in nutrition for autoimmune disease specifically the Wahls Protocol and the Autoimmune Protocol. Since receiving her MS diagnosis and seeing first-hand the power of using diet and lifestyle to create a healing environment in the body, she dedicated her virtual nutrition coaching practice to helping people with MS and autoimmune dieseases take back control of their health. Visit her website, alenebrennan.com.